Nathani Amit, Safran Marc R
Department of Orthopaedic Surgery, Sports Medicine and Shoulder Surgery, Stanford University, Redwood City, CA.
Sports Med Arthrosc Rev. 2018 Dec;26(4):185-189. doi: 10.1097/JSA.0000000000000223.
The field of hip arthroscopy has undergone considerable change in the past 25 years and continues to evolve at a rapid pace. Lessons from the early complications and challenges of hip arthroscopy have led to improved safety and refinement of instrumentation and techniques. The pathophysiology of hip injuries is better understood, and advances in surgical technique have helped expand indications, particularly as a shift from pathology resection to anatomic repair and reconstructive procedures has occurred. As the field has progressed, longitudinal outcome studies are now available to help judge efficacy. The purpose of this review is to highlight the past 30 years of hip arthroscopy, the current practice trends, and future directions of the field.
在过去25年里,髋关节镜领域发生了重大变化,并且仍在快速发展。髋关节镜早期并发症和挑战带来的经验教训促使安全性得到提高,器械和技术得以改进。人们对髋部损伤的病理生理学有了更深入的了解,手术技术的进步有助于扩大手术适应症,特别是随着手术方式从病理切除转向解剖修复和重建手术。随着该领域的发展,现在有了纵向疗效研究来帮助评判疗效。本综述的目的是突出髋关节镜领域过去30年的发展、当前的实践趋势以及该领域的未来方向。